The correlation between high-sensitivity cardiac troponin levels in diabetic patients’ serum and lower limb lesions: based on NHANES data

ObjectiveTo evaluate the association of hypersensitive cardiac troponin (hs-cTnT), a biomarker of myocardial injury, with diabetic lower extremity disease in American adults.MethodsWe conducted a cross-sectional study (unweighted N=1,196) of diabetic patients aged 40 years or older who participated...

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Main Authors: Lin Li, Linxi Jiao, Danyang Yang, Jingxia Zhao, Ping Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1515212/full
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author Lin Li
Linxi Jiao
Danyang Yang
Jingxia Zhao
Ping Li
author_facet Lin Li
Linxi Jiao
Danyang Yang
Jingxia Zhao
Ping Li
author_sort Lin Li
collection DOAJ
description ObjectiveTo evaluate the association of hypersensitive cardiac troponin (hs-cTnT), a biomarker of myocardial injury, with diabetic lower extremity disease in American adults.MethodsWe conducted a cross-sectional study (unweighted N=1,196) of diabetic patients aged 40 years or older who participated in the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2004. Logistic regression was used to assess the association of hs-cTnT with lower extremity disease, including peripheral neuropathy (as assessed by monofilament test), peripheral artery disease (as assessed by ankle-brachial index), history of foot ulcers, or amputation. All analyses are weighted.ResultsThe prevalence rate of diabetic lower extremity disease was 41.6%. Adjusted hs-cTnT was significantly associated with lower limb disease in adults with diabetes. There is interaction between chronic kidney disease and hs-cTnT, which strongly interferes with the correlation between hs-cTnT and lower extremity lesions in diabetic patients.ConclusionsOur study suggests the usefulness of hs-cTnT as a biomarker for lower extremity lesions in adults with diabetes and highlights the potential direct interaction of hs-cTnT with chronic kidney disease.
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spelling doaj-art-40759a99b1264a788a1dbcbdeb4206d42025-01-27T05:14:40ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-01-011610.3389/fendo.2025.15152121515212The correlation between high-sensitivity cardiac troponin levels in diabetic patients’ serum and lower limb lesions: based on NHANES dataLin LiLinxi JiaoDanyang YangJingxia ZhaoPing LiObjectiveTo evaluate the association of hypersensitive cardiac troponin (hs-cTnT), a biomarker of myocardial injury, with diabetic lower extremity disease in American adults.MethodsWe conducted a cross-sectional study (unweighted N=1,196) of diabetic patients aged 40 years or older who participated in the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2004. Logistic regression was used to assess the association of hs-cTnT with lower extremity disease, including peripheral neuropathy (as assessed by monofilament test), peripheral artery disease (as assessed by ankle-brachial index), history of foot ulcers, or amputation. All analyses are weighted.ResultsThe prevalence rate of diabetic lower extremity disease was 41.6%. Adjusted hs-cTnT was significantly associated with lower limb disease in adults with diabetes. There is interaction between chronic kidney disease and hs-cTnT, which strongly interferes with the correlation between hs-cTnT and lower extremity lesions in diabetic patients.ConclusionsOur study suggests the usefulness of hs-cTnT as a biomarker for lower extremity lesions in adults with diabetes and highlights the potential direct interaction of hs-cTnT with chronic kidney disease.https://www.frontiersin.org/articles/10.3389/fendo.2025.1515212/fullhypersensitive cardiac troponindiabetes mellituslower extremity diseaseperipheral neuropathyperipheral vascular disease
spellingShingle Lin Li
Linxi Jiao
Danyang Yang
Jingxia Zhao
Ping Li
The correlation between high-sensitivity cardiac troponin levels in diabetic patients’ serum and lower limb lesions: based on NHANES data
Frontiers in Endocrinology
hypersensitive cardiac troponin
diabetes mellitus
lower extremity disease
peripheral neuropathy
peripheral vascular disease
title The correlation between high-sensitivity cardiac troponin levels in diabetic patients’ serum and lower limb lesions: based on NHANES data
title_full The correlation between high-sensitivity cardiac troponin levels in diabetic patients’ serum and lower limb lesions: based on NHANES data
title_fullStr The correlation between high-sensitivity cardiac troponin levels in diabetic patients’ serum and lower limb lesions: based on NHANES data
title_full_unstemmed The correlation between high-sensitivity cardiac troponin levels in diabetic patients’ serum and lower limb lesions: based on NHANES data
title_short The correlation between high-sensitivity cardiac troponin levels in diabetic patients’ serum and lower limb lesions: based on NHANES data
title_sort correlation between high sensitivity cardiac troponin levels in diabetic patients serum and lower limb lesions based on nhanes data
topic hypersensitive cardiac troponin
diabetes mellitus
lower extremity disease
peripheral neuropathy
peripheral vascular disease
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1515212/full
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